HomeMy WebLinkAboutEDAW - INSURANCE CERTIFICATE (10)'
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^�r CERTIFICATE NUMBER
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SEA-00082394807 .
PRODUCER
MARSH RISK INSURANCE SERVICES
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
P. O. BOX 193880
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
SAN FRANCISCO, CA 941 19-3880
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
CALIFORNIA LICENSE NO.0437153
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
A TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
102734CONST-WS-
INSURED
INC.
COMPANY
40 E.
240 E. MOUNTAIN AVENUE
B HARTFORD FIRE INSURANCE CO
FORT COLLINS, CO 80524
COMPANY
C TWIN CITY FIRE INSURANCE CO./HARTFORD
COMPANY
D ZURICH AMERICAN INS CO
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THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
DATE (MM/DD/YY)
DATE (MMIDDIYY)
A
GENERAL LIABILITY
630-787213152-05
07/01/05
07/01/06
GENERAL AGGREGRATE
$ 2,000,000
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OX OCCUR
PRODUCTS-COMP/OP AGG
$ 2,000,000
PERSONAL & ADV INJURY
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$ 1,000,000
X
SEVERABILITY OF INTEREST
FIRE DAMAGE (Any one fire)
$ 500,000
CONTRACTUAL LIABILITY
X
MED EXP (Any one person)
$ 10,000
B
AUTOMOBILE LIABILITY
57UENTL6235
07/01/05
07/01/06
X
ANY AUTO
COMBINED SINGLE LIMIT
$ 1,000,000
ALL OWNED AUTOS
BODILY INJ URY
SCHEDULED AUTOS
(Per person)
$
X
HIRED AUTOS
%(
NON-OWNEDAUTOS
BODILYI
(Per acddwenp
$
PROPERTYDAMAGE
$
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
$
ANYAUTO
OTHER THAN AUTO ONLY
EACHACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
OTHER THAN UMBRELLA FORM
I
$
C
WORKERS COMPENSATION AND
57WENP6960
07/01/05
07/01/06
X WC STATU- OTH
EMPLOYERS'UABIUTY
TORV LIMITS ER
THE PROPRIETOR/
EL EACH ACCIDENT
$ 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
PARTNERS/EXECUTIVE X INCL
OFFICERS ARE: EXCL
EL DISEASE -EACH EMPLOYEE
$ 1.000.000
OTHER
D
PROFESSIONAL LIABILITY
EOC 9379410-01
03Y24/05
08/01/06
PER CLAIM 1,000.000
(ERRORS & OMISSIONS)
AGGREGATE 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: PROJECT #04030071.01 / OLD TOWN SQUARE PLAZA RENOVATIONS
P-957
THIS CERTIFICATE IS ISSUED AS RESPECTS LIABILITY ARISING OUT OF THE WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. INSURANCE
IS
PRIMARY AND NONCONTRIBUTING WITH OTHER INSURANCE MAINTAINED BY THE CERTIFICATE HOLDER.
0104►�M ;
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL 909)(1101M MAIL 30 DAYS
ATTN: JOHN STEPHEN, CPPO/SENIOR BUYER
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN,
P.O. BOX 580
FORT COLLINS, CO 80522-0580
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MARSH USA INC
ev: Michio Nekota �,,j�,fL„L
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I1(:I, = VALIDAS OF: 06f29/05�(
BLANKET WAIVER OF SUBROGATION
This endorsement changes the policy to which it is attached effective on inception date of
the, policy unless a different date is indicated below:
This endorsement, effective 12:01 AM 07101/05 farms apart of Policy No: 57 WENP 6960
Issued to EDAW, Inc.
By: TWIN CITYFIRE INSURAI`10E COMPANY
We waive any right of recovery we may have against any person or organization because
of payments we makefor injury or damage arising out of premises owned or occupied by
or rented or loaned to you, ongoing, operations performed by you or onyour behalf, done
under a contract with that personororganization, !.your work", or "your products". We
waive this right whereyouu.have agreed to do so as part of a written contract, executed by
youpriorto loss.
Schedule
AS FEQUIRED BY WRITTEN CONTRACT
Countersigied by
Copyright, The Travelers Indemnity Company, 2003 CD DI 86 1103